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Individual

RONEE LYN SHATSWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 477-7226
(580) 481-2379
Mailing address
PO BOX 102, BLAIR, OK 73526-0102
(580) 477-7226
(580) 481-2379

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
884
OK

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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